# SPEEDWAY SURGICAL SPECIALISTS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPEEDWAY SURGICAL SPECIALISTS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508437385
- **Legal business name:** SPEEDWAY SURGICAL SPECIALISTS, LLC
- **Authorized official:** AMY NAMANNY PHARMD/MBA (BOARD MEMBER)
- **Authorized official phone:** (520) 777-4090

## Contact information

- **Practice address:** 6442 E SPEEDWAY BLVD STE 152, TUCSON, AZ 85710-1134
- **Practice address phone:** (520) 771-8175
- **Practice address fax:** (520) 771-9402
- **Mailing address:** 6442 E SPEEDWAY BLVD STE 152, TUCSON, AZ 85710-0013
- **Mailing address phone:** (520) 771-8175
- **Mailing address fax:** (520) 771-9194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2021
- **Last updated:** 05/10/2023